FIONA QUINN
Dependent on policy B04M000625
Claims
2
Attributed to this person
Charged
644.00
Total submitted
Denied
644.00
2 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | FIONA QUINN |
| Role on the policy | Dependent · relationship 19 |
| Policy | B04M000625 |
| Date of birth | 2 Feb 2011 |
| Plan | PLATINUM PPO |
| Covered from | 23 Jan 2025 |
| Covered to | 1 May 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0002718 | 12 Apr 2025 | 439.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 439.00 |
| CLM0002719 | 22 Feb 2025 | 205.00 | CASCADE CARE | CARC 27 · ELIGIBILITY | 205.00 |